The data envelopment analysis（DEA）-BCC model static analysis and DEA -Malmquist dynamic analysis were adopted to analyze the efficiency of health resource allocation in 11 regions of Zhejiang Province from 2015 to 2023. The influence of environmental factors on the allocation efficiency of health resources was analyzed using the DEA-Tobit regression model. The results show that compared with 2015，the average values of technical efficiency（TE），pure technical efficiency（PTE），and scale efficiency（SE）of health service resource allocation across regions of Zhejiang Province have all increased in 2023，though significant regional disparities persisted. From 2015 to 2023，the Malmquist index in Zhejiang Province generally fluctuated upward，with its decline primarily affected by the technological change index （TC）. Among environmental factors，population density，per capita disposable income are positively correlated with TE and SE，while the proportion of health expenditure in the general budget expenditure is negatively correlated with TE and PTE. The findings indicate that economic development facilitates the efficiency of health resource allocation. Furthermore，improving the management level of the health sector allows for optimizing government allocation of health resources.